Individual
MS. DEBBIE KAY LAVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, CIMI
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 233-8224
Mailing address
2401 PRISCELLA DR, FORT WORTH, TX 76131-1278
(682) 557-2042
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
107082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886100500
—
FL
Enumeration date
03/16/2007
Last updated
08/05/2019
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